Healthcare Provider Details

I. General information

NPI: 1962276147
Provider Name (Legal Business Name): HOPE HARBOR COMMUNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2023
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 WHITE HORSE AVE STE 21
HAMILTON NJ
08610-1407
US

IV. Provider business mailing address

941 WHITE HORSE AVE STE 21
HAMILTON NJ
08610-1407
US

V. Phone/Fax

Practice location:
  • Phone: 475-355-3340
  • Fax:
Mailing address:
  • Phone: 475-355-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMMANUELLA VALME
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 475-355-3340